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Titre : | Efficacy and Safety of High-Frequency Repetitive Transcranial Magnetic Stimulation for Poststroke Depression: A Systematic Review and Meta-analysis (2019) |
Auteurs : | Chaomeng Liu ; Meizi Wang ; Xia Liang |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 10, 2019) |
Article en page(s) : | p. 1964-1975 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Dépression ; Réadaptation ; Sécurité ; Stimulation magnétique transcranienne |
Résumé : |
Objective
To summarize and systematically review the efficacy and safety of high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) for depression in patients with stroke. Data Sources Six databases (Wanfang, the China National Knowledge Infrastructure, PubMed, Embase, Cochrane Library, and Web of Science) were searched from inception until November 15, 2018. Study Selection Seventeen randomized controlled trials were included for meta-analysis. Data Extraction Two independent reviewers selected potentially relevant studies based on the inclusion criteria, extracted data, and evaluated the methodological quality of the eligible trials using the Physiotherapy Evidence Database. Data Synthesis We calculated the combined effect size (standardized mean difference [SMD] and odds ratio [OR]) for the corresponding effects models. Physiotherapy Evidence Database scores ranged from 7 to 8 points (mean=7.35). The study results indicated that HF-rTMS had significantly positive effects on depression in patients with stroke. The effect sizes of the SMD ranged from small to large (SMD, -1.01; 95% confidence interval [CI], -1.36 to -0.66; P<.001 i2 n="1053)," and the effect sizes of or were large rates vs ci p remission in terms treatment side effects hf-rtms group was more prone to headache than control> Conclusions HF-rTMS is an effective intervention for poststroke depression, although treatment safety should be further verified via large sample multicenter trials. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319302424 |